Cognitive communication deficits following traumatic brain injury and dementia and their assessment approaches tested on the Praxis SLP exam.
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- Cognitive-communication disorder refers to
- Difficulty with communication resulting from an underlying cognitive impairment, such as attention, memory, or executive function deficits
- A common cause of acquired cognitive-communication disorder in adults
- Traumatic brain injury (TBI)
- Diffuse axonal injury in traumatic brain injury results from
- Widespread shearing of axons due to rotational or acceleration-deceleration forces
- The Rancho Los Amigos Scale is used to
- Describe and track a patient's cognitive recovery stages after traumatic brain injury
- Post-traumatic amnesia refers to
- The period after a brain injury during which the patient cannot form new continuous memories
- Executive function deficits after TBI commonly impair
- Planning, organization, problem-solving, and self-monitoring
- Attention deficits after TBI can affect communication by
- Reducing the ability to sustain focus during conversation or filter out distractions
- A hallmark communication feature of right hemisphere brain damage
- Difficulty with pragmatics, such as interpreting humor, sarcasm, and inferencing
- Prosody deficits after right hemisphere damage can result in
- Flat or monotone speech, or difficulty interpreting emotional tone in others' speech
- Left neglect refers to
- A failure to attend to or respond to stimuli on the left side, commonly seen after right hemisphere stroke
- Dementia is best described as
- A progressive decline in cognitive function severe enough to interfere with daily functioning
- Alzheimer disease is the most common cause of
- Dementia in older adults
- Early communication changes in Alzheimer disease often involve
- Word-finding difficulty and reduced ability to follow complex conversation
- Vascular dementia results from
- Cumulative brain damage from multiple strokes or chronic reduced blood flow
- A stepwise pattern of cognitive decline is characteristic of
- Vascular dementia, as opposed to the gradual decline typical of Alzheimer disease
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